ELLEN B HENNESSY-HARSTAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175262

License Status

NOT RENEWED

Business

First Name

ELLEN B

Last Name

HENNESSY-HARSTAD

Business Name

ELLEN B HENNESSY-HARSTAD

Original Issue Date

10/12/1977

Effective Date

05/02/2016

Expiration Date

05/31/2018

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018